LIBERTY MEDICAL CARE SERVICES, LLC (NPI# 1174920300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174920300 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL CARE SERVICES, LLC |
| Practice Address |
44 Mcneill Plz Whiteville NC 28472-8602 |
| Practice Telephone | 9106420224 |
| Mailing Telephone | 9106420224 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MR. JOE CALCUTT (CFO) |
| Authorized Official Telephone | 9108153122 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44 MCNEILL PLZ |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194894790 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2006-11-07 |
| 1063056687 | Rachel Tedesco | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-11-06 |
| 1972050276 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-09-02 |
| 1184078651 | Freedom Therapy Services, LLC | Occupational Therapist | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-04-20 |
| 1639523764 | Liberty Healthcare Group, LLC | Assisted Living Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-04-14 |
| 1821366436 | Latricia Dail Chastain | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2011-12-09 |
| 1043498173 | Liberty Healthcare Group | Skilled Nursing Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639134059 | Robin J Rye | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2006-04-19 |
| 1962483032 | Thomas Lawson IIi | Nurse Practitioner | 701 Jefferson St, Whiteville, NC 28472-3704 | 2005-11-07 |
| 1275537037 | Amy R. Pharr | Nurse Practitioner | 706 N Thompson St, Whiteville, NC 28472-3428 | 2005-06-09 |
| 1982234399 | Ashlee Pinion-raby | Nurse Practitioner | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2020-01-24 |
| 1063056687 | Rachel Tedesco | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-11-06 |
| 1013567304 | Cassandra Schimmoeller | Nurse Practitioner | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-09-18 |
| 1053877084 | Stephanie Tyner Jones | Nurse Practitioner | 304 Jefferson St, Whiteville, NC 28472-3602 | 2019-02-14 |
| 1679060784 | Shannon Godwin | Nurse Practitioner | 619 Jefferson St, Whiteville, NC 28472-3707 | 2018-04-16 |
| 1548705049 | Sara Anne Davis Valasek | Nurse Practitioner | 630 S Madison St, Whiteville, NC 28472-4130 | 2016-12-20 |
| 1780138479 | Jennifer Dove | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2016-08-10 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.